Utilization Management Nurse

Brighton Health Plan Solutions, LLC

12 days ago

Remote

Full Time

Medior

0 applicants

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About this role

A Licensed Practical Nurse (LPN) role focusing on medical necessity and benefit review within Utilization Management services. The position involves clinical reviews, collaboration with healthcare partners, case triaging, and ensuring compliance with regulatory standards. This remote position emphasizes healthcare quality, efficiency, and provider communication.

Skills

Qualifications

LPN License

About Brighton Health Plan Solutions, LLC

brightonhps.com

Brighton HPS is a Brighton-based health and performance clinic that provides physiotherapy, sports rehabilitation, strength & conditioning, and wellbeing services to athletes and everyday clients. They deliver evidence-based assessment and personalised treatment plans combining manual therapy, exercise prescription, movement screening, and performance coaching to prevent injury and speed recovery. The team focuses on measurable outcomes and client education to restore function and optimise performance. Clients choose Brighton HPS for its integrated, practitioner-led approach and emphasis on long-term resilience.